Typhoid

Typhoid and Paratyphoid (Enteric) Fevers:
• enteric fevers due to Salmonella typhi and S. paratyphi – spread by faecal-oral route when sanitation is inadequate; 3-21 day incubation
• typhoid – start with fever, headache, myalgias, bradycardia, constipation, vomiting. After 7 days  ‘rose’ spots on trunk, splenomegaly, cough, diarrhoea. After two weeks and untreated  dlirirum, coma, death
• paratyphoid  similar to typhoid but more abrupt onset and milder symptoms
• treatment – antibiotics; fluid replacement; adequate nutrition